摘要The paper systematically summarizes the experience of Director Song Fuyin in treating Hashimoto's thyroiditis which is a typical emotional disease that causes obvious changes in organ morphology and endocrine and body fluid metabolism. It belongs to the category of psychosomatic diseases, and is the embodiment of a series of pathogenesis processes of qi disease, blood disease, essence disease and deformation in TCM theory. The whole course of the disease is dominated by the dialectical relationship of mutual influence, mutual control, mutual root and mutual use among the deity disease, qi disease, blood disease, essence and spiritual disease. Therefore, the treatment emphasizes the dialectical relationship based on qi, blood, essence and spirit. At the beginning, the treatment focuses on regulating qi and clearing heat and eliminating phlegm; at the middle stage, the treatment focuses on replenishing essence and promoting yang and eliminating wind and calming the deity; at the late stage, the treatment focuses on replenishing qi and eliminating phlegm and promoting collages. Flexible use of calming the spirits, regulating qi, dispersing essence, eliminating phlegm, promoting blood and other methods of stage classification treatment, can be targeted, improve the cure rate of the disease. This article aims to clarify the experience of Director Song Fuyin in treating Hashimoto's thyroiditis based on syndrome differentiation of qi, blood essence and spirit.